Park Nicollet
NPI 1982150728 · Clinic/Center · Maple Grove, MN
Park Nicollet is a Clinic/Center organization in Maple Grove, MN (NPI 1982150728).
Provider details
- NPI number
- 1982150728
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Sofiya Tsukerman, Htcp(763) 494-4686
- License
- L 48617-4 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-08-31
- Last updated
- 2016-08-31
Frequently asked questions
- What is Park Nicollet's NPI number?
- Park Nicollet's National Provider Identifier (NPI) is 1982150728, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Nicollet?
- Park Nicollet is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Park Nicollet located?
- Park Nicollet's practice location on file with NPPES is 9555 Upland Ln N, Maple Grove, MN 66369.
- What is Park Nicollet's phone number?
- The practice phone number listed in the NPPES registry for Park Nicollet is (952) 993-1589.
- Who is the authorized official for Park Nicollet?
- The authorized official listed on Park Nicollet's NPPES record is Sofiya Tsukerman, Htcp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Nicollet's NPI active?
- Yes — Park Nicollet's NPI (1982150728) is active in the NPPES registry as of the last update on 2016-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.